i want to thank all seven witnesses for bearing with us. my question is over a concern that i have in regard to the exchanges and the authority of the secretary in regard to will making. i am going to direct my questioning to the secretary of health services in wisconsin, mr. dennis smith, and hopefully we will be able to get all this done in five minutes. the recently released information regarding health care quality for exchanges on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this